Главная 7 Wellness Blog 7 Breech Presentation – Breech Births

Breech Presentation – Breech Births

Contents

Breech Births

Breech Presentation - Breech Births

Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.”

Breech births occur in approximately 1 out of 25 full-term births.

What are the different types of breech birth presentations?

  • Complete breech: Here, the buttocks are pointing downward with the legs folded at the knees and feet near the buttocks.
  • Frank breech: In this position, the baby’s buttocks are aimed at the birth canal with its legs sticking straight up in front of his or her body and the feet near the head.
  • Footling breech: In this position, one or both of the baby’s feet point downward and will deliver before the rest of the body.

The causes of breech presentations are not fully understood.

However, the data show that a breech birth is more common:

 

  • In subsequent pregnancies
  • In pregnancies of multiples
  • When there is history of premature delivery
  • When the uterus has too much or too little amniotic fluid
  • When there is an abnormal shaped uterus or a uterus with abnormal growths, such as fibroids
  • With women who have placenta previa

 

A few weeks prior to the due date, the health care provider will place her hands on the mother’s lower abdomen to locate the baby’s head, back, and buttocks. If it appears that the baby might be in a breech position, they can use ultrasound to confirm the position.

Special x-rays can also be used to determine the baby’s position and the size of the pelvis to determine if a vaginal delivery of a breech baby can be safely attempted.

Even though most breech babies are born healthy, there is a slightly elevated risk for certain problems. Birth defects are slightly more common in breech babies and the defect might be the reason that the baby failed to move into the right position prior to delivery.

It is preferable to try to turn a breech baby between the 32nd and 37th weeks of pregnancy. The methods of turning a baby will vary and the success rate for each method can also vary. It is best to discuss the options with the health care provider to see which method she recommends.

External Version: External version is a non-surgical technique to move the baby in the uterus. In this procedure, a medication is given to help relax the uterus. There might also be the use of an ultrasound to determine the position of the baby, the location of the placenta and the amount of amniotic fluid in the uterus.

Gentle pushing on the lower abdomen can turn the baby into the head-down position. Throughout the external version the baby’s heartbeat will be closely monitored so that if a problem develops, the health care provider will immediately stop the procedure. External version has a high success rate. However, this procedure becomes more difficult as the due date gets closer.

Chiropractic Care: The late Larry Webster, D.C., of the International Chiropractic Pediatric Association, developed a technique that enabled chiropractors to reduce stress on the pregnant woman’s pelvis leading to the relaxation of the uterus and surrounding ligaments.

A more relaxed uterus makes it easier for a breech baby to turn naturally. His technique is known as the Webster Breech Technique. The July/August issue of the Journal of Manipulative and Physiological Therapeutics reported and 82% success rate for the Webster Technique. Further, the results of the study suggest that it is preferable to perform the Webster Technique in the 8th month of pregnancy.

The following risk-free techniques, often suggested by physical therapist Penny Simkin, can be tried at home for free:

The Breech Tilt: Using large, firm pillows, raise the hips 12″ or 30cm off the floor for 10-15 minutes, three times a day. It is best to do this on an empty stomach when your baby is active. In this technique, try to concentrate on the baby without tensing your body, especially in the abdominal area.

Using Music: We know that babies can hear sounds outside the womb. Consequently, many women have used music or taped recordings of their voice to try to get their baby to move towards the sound. Placing headphones on the lower part of your abdomen and playing either music or sounds of your voice can encourage babies to move towards the sounds and out of a breech position.

Some homeopathic remedies have also been found to be successful in correcting breech positions. If interested, you can contact your local holistic practitioner about the possibility of using of Moxibustion or Pulsatilla to correct a breech position.

Most health care providers do not believe in attempting a vaginal delivery for a breech position. However, some will delay making a final decision until the woman is in labor.

The following conditions are considered necessary in order to attempt a vaginal birth:

 

  • The baby is full-term and in the frank breech presentation
  • The baby does not show signs of distress while its heart rate is closely monitored.
  • The process of labor is smooth and steady with the cervix widening as the baby descends.
  • The health care provider estimates that the baby is not too big or the mother’s pelvis too narrow for the baby to pass safely through the birth canal.
  • Anesthesia is available and a cesarean delivery possible on short notice

 

What are the risks and complications of a vaginal delivery?

In a breech birth, the baby’s head is the last part of its body to emerge making it more difficult to ease it through the birth canal. Sometimes forceps are used to guide the baby’s head out of the birth canal. Another potential problem is cord prolapse.

In this situation the umbilical cord is squeezed as the baby moves toward the birth canal, thus slowing the baby’s supply of oxygen and blood. In a vaginal breech delivery, electronic fetal monitoring will be used to monitor the baby’s heartbeat throughout the course of labor. A cesarean delivery may be an option if signs develop that the baby may be in distress.

When is a cesarean delivery used with a breech presentation?

Most health care providers recommend a cesarean delivery for all babies in a breech position, especially babies that are premature. Since premature babies are small and more fragile, and because the head of a premature baby is relatively larger in proportion to its body, the baby is unlikely to stretch the cervix as much as a full-term baby. This means that there might be less room for the head to emerge.

 

Похожие статьи

О admin

Оставить комментарий

Этот сайт использует Akismet для борьбы со спамом. Узнайте как обрабатываются ваши данные комментариев.

x

Check Also

Menstruation: A Journey Through Your Cycle, APA

Menstruation: A Journey Through Your Cycle Home / Women's Health / Menstruation: A Journey Through Your Cycle Menstruation is the discharge of blood and tissue from the lining of your uterus that occurs at the beginning of your menstrual cycle.

Best Pregnancy Pillow For Pregnancy (VIDEO) Wellness Blog

Contents 5. Moonlight Slumber Comfort-U Total Body Support Pillow 6. Preggle Chic Jersey XL Extra Long Comfort Air-Flow Body Pillow Discover the Maternity Pregnancy Pillow Pros and Cons! JOIN THE APA NEWSLETTER Maternity Photo Shoot Ideas and Tips   Best Pregnancy Pillow For Pregnancy (VIDEO) W ho could have imagined sleep during pregnancy would become a challenge? Looks like a job for hands down the best pregnancy pillow.

HPV During Pregnancy: Symptoms, Treatment and Prevention

Human Papillomavirus: HPV HPV During Pregnancy: Symptoms, Treatment and Prevention HPV, the Genital Human Papillomavirus, is a viral infection that affects nearly 6,200,000 new individuals each year.

Health – Fitness Archives Wellness Blog

Category - Health & Fitness A great way to bond with your baby during pregnancy is to track your baby's development month by month. Labor and birth are the most anticipated part of a pregnancy.

Comité Asesor Médico

Contents Helpful Information Pregnancy Comité Asesor Médico La se compromete a proporcionar usted con la información más precisa y actualizada relacionada con su embarazo reproductiva, y las necesidades de salud sexual.

Premature Ovarian Failure: Premature Menopause

Contents Is there a difference between Premature Ovarian Failure (POF) and Menopause? What are the Symptoms for Premature Ovarian Failure (POF)? What are my options if I have Premature Ovarian Failure (POF)? Premature Ovarian Failure: Premature Menopause Home / Women's Health / Premature Ovarian Failure: Premature Menopause Approximately 1 in every 1000 women between the ages of 15-29 and 1 in every 100 women between the ages of 30-39 are affected by premature ovarian failure (POF) also called premature menopause.

Labor and Delivery Prenatal Classes (VIDEO), APA Wellness Blog

Contents JOIN THE APA NEWSLETTER Bonding with your Baby: Making the Most of the First Six Weeks   Labor and Delivery Prenatal Classes (VIDEO) This is part two of a three-part Prenatal Classes series by midwife Holliday Tyson.

Fibroid Tumors: Causes, Diagnosis and Treatment

Contents Fibroid Tumors: Causes, Diagnosis and Treatment What are the different types of fibroids in the uterus? What is the health concerns related to uterine fibroids? Fibroid Tumors; Fibroid Uterus Fibroid Tumors: Causes, Diagnosis and Treatment Fibroid tumors are usually undetected non-cancerous masses that grow in the uterus.

Breastfeeding Latch: Proper Positioning

Breastfeeding Latch The most important part of successful breastfeeding is the latch. If your baby is not properly latched on to your breast, feedings could be painful.

Yeast Infections

Yeast Infections A yeast infection occurs when the normal levels of acid and yeast in the vagina are out of balance and cause a very uncomfortable, but not serious, condition called a yeast infection.

Hives During Pregnancy: Causes, Treatment – Prevention

Hives During Pregnancy About 1 in 5 pregnant women experience changes in their skin during pregnancy, including acne, skin darkening, and stretch marks. Although women may feel self-conscious about these new “beauty marks,” skin changes during pregnancy are a normal occurrence.

Genital Herpes

Genital Herpes Genital herpes, also known as herpes simplex virus (HSV), is a viral infection that affects nearly 1,600,000 new individuals each year. Approximately 45 million Americans are currently infected with genital herpes.

Bonding with your Baby: Making the Most of the First Six Weeks Wellness Blog

Bonding with your Baby: Making the Most of the First Six Weeks It doesn’t matter whether you birthed your baby or received that blessing through adoption, it is amazing how many moms hold their newborn baby in their arms and then look up with that puzzled expression on their face and ask the question, now what? The good news is that moms often instinctually know what to do. Most of it is natural, and it comes out of a deep commitment to care and love for that fragile new creation.

Urinary Tract Infection – Causes, Symptoms, and Prevention

Contents What are the signs and symptoms of urinary tract infections? How do I know if I have a urinary tract infection (UTI)? What is the treatment for urinary tract infections? Urinary Tract Infection: Bladder Infection Home / Women's Health / Urinary Tract Infection: Bladder Infection A urinary tract infection (UTI) is a bacterial inflammation in the urinary tract.

Premenstrual Syndrome (PMS), American Pregnancy on PMS

Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD) Home / Women's Health / Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD) Approximately 85% of women who menstruate report changes in the days or weeks before their menstruation that cause problems that affect their normal lives.

Abnormal Pap Smear

Abnormal Pap Smear Women are encouraged to start getting yearly Pap smears at the age of 21 or within 3 years of becoming sexually active. Pap smears are not diagnostic tests, but they are screening tools used to find any abnormal cells or dysplasia in the cervix.

Donor Milk: Is It Safe?

Donor Milk Breastmilk is the prefect food for your baby, and the best breastmilk is your own. However, if you cannot provide breastmilk, donor milk may be available from your hospital or local milk bank.

Introducing the Bottle to Your Baby: Getting Started

Introducing the Bottle Once breastfeeding is going well, your baby can begin drinking your breast milk from a bottle. You should avoid feeding your baby with a bottle if there are any problems with nursing at your breast, because it can confuse your baby and increase the breastfeeding difficulties.

Tipped Uterus: Tilted Uterus

Tipped Uterus: Tilted Uterus The uterus is the hollow, pear-shaped organ where a developing fetus will grow. The uterus is normally in a straight vertical position.

Gonorrhea

Gonorrhea Gonorrhea is a bacterial infection that affects over 700,000 new individuals each year. The current number of cases is unknown. It is common for individuals infected to not have any symptoms.

Breastfeeding While Pregnant: Safety and Challenges

Breastfeeding While Pregnant Breastfeeding During Pregnancy: Safety and Challenges You may have just started adjusting to breastfeeding only to find out you are pregnant again.

Hepatitis B

Hepatitis B Hepatitis B is a viral infection that affects nearly 73,000 new individuals each year. Approximately 1,250,000 people in the United States are carriers of this disease.

Nutrition During Breastfeeding

Nutrition During Breastfeeding Home / Breastfeeding / Nutrition During Breastfeeding To Breastfeed or Not to Breastfeed? If you are expecting, you are probably giving some thought to how you will feed your bundle of joy once she enters the world.

Ovarian Cancer Resources

Contents What are clinical trials and how can I enroll in one? I’ve been diagnosed with ovarian cancer. Where can I find help & support? Ovarian Cancer Resources If you’ve been diagnosed with ovarian cancer, you probably have a lot of questions.